Nurse Practitioner – Neurodivergence Focus

1900 Copperhead Dr, Kamloops, BC V1S 0A4, Canada, Part Time

TherapyWorks Neurodiversity Services and Counselling Associates (TherapyWorks) is a multi-disciplinary practice that serves children, youth and adults. The Nurse Practitioner (NP) is an independent contractor to TherapyWorks Neurodiversity Services and Counselling Associates. The Nurse Practitioner provides clinical nursing services, counselling, patient education, assessment, and ongoing medical care. This role will have a specialized focus on assessments, screening and treatment of ADHD and other neurodivergent conditions.

Additionally, the NP works collaboratively with TherapyWorks team members in supporting youth who are transitioning from children’s services to adult services. Counsellor provides individual, group, and family counselling, therapy and / or psychotherapy services to children, youth and adults to address mental health and/or relationship concerns, build on strengths, develop positive relationships, and positively affirm identity. The position is contracted, with part-time to full-time hours, depending on the associate’s needs and the practice’s demands. Primary Responsibilities Conduct assessments: Within the context of team based and client and family centred care, assesses each patient’s state of physical or mental health, provide recommendations and referrals to facilitate comprehensive care and supports.

Adapt service approach: Implements approaches that address barriers to service. Adapts approaches to facilitate access to care for clients with physical, emotional, or cognitive differences that impact their ability to engage with services. Advocates in systems to improve patient access to care and the resources necessary to support their ability to optimize their capabilities. Utilizes a low demand approach and declarative language for clients who may be reactive to demands.

Avoids use, or recommendation, of behavioural management practices consistent with traditional and modern behavioural analysis models. Full scope practice: Treat and diagnose patients within the legal scope of the profession. Maintain documentation of treatment plans and updates, and discharge plans: The NP maintains documentation of assessments, treatment and discharge plans and progress notes on the Electronic Health Record utilized by the clinic, and uses these to guide their patient care. Completes risk assessments: Interact and assess the level of risk when clients present with indications of harm to self or others, or suicidality.

Communicate with others to reduce the risk of harm. Ensure compliance with Duty to Report requirements for youth and vulnerable adults. Participates in collaborative case planning: Collaborative care is provided to clients and families that access more than one service at TherapyWorks. The NP will participate in collaborative information exchange to support the continuity of care, safety planning and case management for patients,, within the bounds of the circle of care under the applicable privacy legislation.

Observe and Monitor: Monitors patient symptoms and identify patient needs for further testing. Analyzes patient test results and determines any necessary follow-up visits. Maintains a high level of communication: Ensures the Clinical Director is aware of ethical concerns, client incidents, referrals to protective services or police services. Provides information to the Clinical Director, or designate, regarding requests for services that are additional to the current service request.

Consults with colleagues for opinions and expertise. Obtains independent supervision as needed. Medical care: Undertakes medication review where indicated. Calculates medication doses for prescriptions for various illnesses.

Read, process, interpret, and enter medical reports into the electronic health record. Accesses pharmanet to undertake routine medication reconciliation practices. Follows up with patients who have visited the hospital or received results from specialists. Qualifications Minimum Master’s degree in nursing -Nurse Practitioner Program.

Completion of OSCE and the written exam required for full registration. Registered with the BC College of Nurses and Midwives. Experience working with neurodivergent youth and adults is an asset Experience with screening of ADHD and other neurodivergent conditions Experience administering ASRS (Adult ADHD Self-Report Scale Screener), WFIRS (Weiss Functional Impairment Rating Scale), PHQ-9 (Patient Health Questionnaire) and GAD-7 (General Anxiety Disorder) Experience with principles of health promotion including immunizations, communicable diseases, sexual health, and harm reduction measures Current experience using an electronic medical record is an asset Candidates must have demonstrated history of good working relationships with colleagues, professional staff, and the inter-professional team, Must have a highly developed ability to organize time and set priorities Candidates must be able to work independently with minimal supervision, work as part of a collaborative team and make clinical decisions within their professional domain Maintain a clear Police Vulnerable Sector Check Demonstrated ability to communicate and liaise with families and other professionals in fostering a collaborative working relationship. Adaptability and flexibility in working with youth, adults and families with a broad range of strengths and needs.

Ability to leverage client strengths in support of their mental, emotional, developmental, social, learning or behavioural goals. Ability to maintain neutrality in responsive to challenging behaviours or unpredictable situations. Strong organizational and time-management skills. Comfort with computers and video conferencing platforms.

One year minimum commitment. All independent contractors will enter into a contract agreement with TherapyWorks Neurodiversity Services and Counselling Associates and will be bound by the terms of the contract. Working Conditions Physical Environment: There are no adverse physical environment conditions inherent to the job. Psychological Environment: Occasionally dealing with competing requests from more than one source.

Frequently dealing with emotionally charged situations that require listening, assistance, treatment and therapy, or support. Continuously dealing with situations which involve contact with suffering or cause stress due to irresolvable problems. Health & Safety: Provide nursing / medical care to upset and distraught individuals. The location is in downtown Kamloops and the community surrounding the office may include a number of unhoused individuals and / or individuals in various degrees intoxication or under the influence of substances.

Community visits can be unpredictable and team members are provided a risk assessment tool to identify risks to safety and options for mitigating risks.  TherapyWorks Neurodiversity Services and Counselling Associates is a neurodiversity, and LGBTQ2S affirming agency. TherapyWorks seeks applicants who embrace our values of equity, anti-racism and inclusion. As such, we encourage applications from candidates who have been historically disadvantaged and marginalized, including applicants who identify as First Nations, Métis and/or Inuk (Inuit), Black, racialized, a person with a disability, women and/or 2SLGBTQ.

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